{if isset($error_msg)}
{$error_msg}
{/if}
<form action="{$REQUEST_URI}" method="post" accept-charset="UTF-8">
	<fieldset>
		<dl>
			<dt><label for="name">{lang values="common|name"}</label></dt>
			<dd><input type="text" name="form[name]" id="name" value="{$form.name}" /></dd>
			<dt><label for="message">{lang values="common|message"}</label></dt>
			<dd>
				{$emoticons}
				<textarea name="form[message]" id="message" cols="50" rows="5">{$form.message}</textarea>
			</dd>
		</dl>
	</fieldset>
	<div class="form-bottom">
		<input type="submit" name="submit" value="{lang values="common|submit"}" class="form" />
	</div>
</form>